Conceptual Study of Anorectal Disorders
Author : Dr. Sneha Ramprakash Mishra, Dr. Vaibhav Magar and Dr. Srinivas Tulrapati
Abstract :
The prevalence of anorectal disorders in the general population is between 5% and 15%. The faulty dietary pattern and life style, hereditary factors are important Etiological factors of this disease. Anorectal disorders are a group of medical Disorders that occur at rectum and anal canal region. Ayurveda have mentioned Various References in many Ayurvedic texts regarding Anorectal diseases and their Management after a long clinical experience as Arsha (Piles or Haemorrhoids), Bhagandara (fistula in ano) etc. The incidence of problem is increasing & challenging due to continue practice of Ahitsevan (harmful Substances), ignorance and busy lifestyle. The marvellous advancement in modern surgical field with Constant efforts has been made globally but still the anorectal disease has remained as a challenging task for its management. Due to factors like Hesitation, shyness, refusal of per rectal examination, Unawareness etc. patient Takes consultation late with much misconception. Change in lifestyle and food Habits had led to increase in gastrointestinal disorders. Anorectal disorders are the Conditions which primarily affects anus and rectum area. The common disorders of it includes hemorrhoids-Arsha, anal fissures-Parikartika and anal fistula these disorders are associated with defect in Functioning of digestive fire-Jatharagni. Any causative factor-Hetu for causing Mandagni results in vicious Cycle of indigestion and constipation. This tends to vitiation of Dosha-Vata, Pitta and Kapha, these Dosha then Affects Dushya-Skin-Twak, Mamsa and Meda thus forming the disease. A complete overlook from causative Factors-Hetu, its Samprapti-pathogenesis, signs-symptoms and treatment protocol in accordance Ayurveda. The vitiation of Doshas, leading to Mandagni and Apana vayu Imbalances. This imbalance results in the Stagnation of Mala in Gudavali, Eventually culminating in anorectal disorders. Ayurveda surgery and para-surgical Approaches gives several advantages in the management of such types of Conditions. This study aims to provide a Comprehensive and scientifically-backed Analysis on the Nidan samprapti and management of anorectal diseases.
Keywords :
Anorectal Disease, Nidan, Samprapti, Guda, Apanvayu.